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. Author manuscript; available in PMC: 2012 Oct 1.
Published in final edited form as: Am J Kidney Dis. 2011 Aug 24;58(4):666–677. doi: 10.1053/j.ajkd.2011.05.032

Table 3.

Common Forms of Familial FSGS

Gene (protein
effected)
Inheritance Typical Age
of Onset
Distinguishing Clinical Features
NPHS1 (nephrin) AR infancy Congenital nephrotic syndrome (Finnish type); severe nephrosis leading to ESRD
NPHS2 (podocin) AR 3 mo-5 y 10–20% of SRNS in children
WT1 (Wilms tumor 1) AD child Diffuse mesangial sclerosis/FSGS +/− Wilms tumor or urogenital lesions
PLCε1 (phospholipase Cε1) AR 4 mo-12 y Diffuse mesangial sclerosis/FSGS
CD2AP (CD2- associated protein) AR <6 y Rre, progresses to ESRD
INF2 (inverted formin 2) AD Teen/young adult Mild nephrotic syndrome, but progressive CKD
ACTN4 (α- actinin 4) AD Any age Mild nephrotic syndrome, may develop progressive CKD
TRPC6 AD Adult (age 20- 35) Nephrotic, progressive CKD
tRNALeu(UUR) gene Mitochondrial DNA Adult May be associated deafness, diabetes, muscle problems, retinopathy (maternal inheritance)

Abbreviations: AR, autosomal recessive; AD, autosomal dominant; CKD, Chronic Kidney Disease; ESRD, End-Stage Renal Disease; FSGS, Focal Segmental Glomerulosclerosis; tRNA, transfer RNA; Leu, leucine; TRPC6, transient receptor potential cation channel 6;